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Indole-3-Carbinol: a Plant Hormone Combatting Cancer[Version 1; Peer

Indole-3-Carbinol: a Plant Hormone Combatting Cancer[Version 1; Peer

F1000Research 2018, 7(F1000 Faculty Rev):689 Last updated: 17 JUL 2019

REVIEW -3-carbinol: a hormone combatting cancer [version 1; peer review: 2 approved] Ella Katz1,2, Sophia Nisani1, Daniel A. Chamovitz 1

1School of Plant Sciences and Food Security, Tel Aviv University, Tel Aviv, Israel 2Department of Plant Sciences, University of California , Davis , USA

First published: 01 Jun 2018, 7(F1000 Faculty Rev):689 ( Open Peer Review v1 https://doi.org/10.12688/f1000research.14127.1) Latest published: 01 Jun 2018, 7(F1000 Faculty Rev):689 ( https://doi.org/10.12688/f1000research.14127.1) Reviewer Status

Abstract Invited Reviewers A diet rich in such as , , and 1 2 has long been considered healthy, and various epidemiological studies suggest that the consumption of cruciferous vegetables contributes version 1 to a cancer-protecting diet. While these vegetables contain a vast array of published , the mechanism by which these vegetables counteract 01 Jun 2018 cancer is still largely unresolved. Numerous in situ studies have implicated indole-3-carbinol, a breakdown product of the indole-3-ylmethylglucosinolate, as one of the phytochemicals with F1000 Faculty Reviews are written by members of anti-cancer properties. Indole-3-carbinol influences a range of cellular the prestigious F1000 Faculty. They are processes, but the mechanisms by which it acts on cancer cells are slowly commissioned and are peer reviewed before being revealed. Recent studies on the role of indole-3-carbinol in publication to ensure that the final, published version Arabidopsis opens the door for cross-kingdom comparisons that can help in understanding the roles of this important phytohormone in both plant is comprehensive and accessible. The reviewers biology and combatting cancer. who approved the final version are listed with their names and affiliations. Keywords , indole-3-carbinol, cancer prevention, cruciferous vegetables 1 Gary L. Firestone, University of California at Berkeley, Berkely, USA

2 Juan M. Zapata, CSIC-UAM, Madrid, Spain

Any comments on the article can be found at the end of the article.

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Corresponding author: Daniel A. Chamovitz ([email protected]) Author roles: Katz E: Conceptualization, Writing – Original Draft Preparation, Writing – Review & Editing; Nisani S: Investigation, Writing – Review & Editing; Chamovitz DA: Project Administration, Supervision, Writing – Original Draft Preparation, Writing – Review & Editing Competing interests: No competing interests were disclosed. Grant information: Our research into the role of I3C in Arabidopsis is funded by grants from the Binational Agricultural Research and Development Fund (BARD, IS450512R and US484615C). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Copyright: © 2018 Katz E et al. This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. How to cite this article: Katz E, Nisani S and Chamovitz DA. Indole-3-carbinol: a plant hormone combatting cancer [version 1; peer review: 2 approved] F1000Research 2018, 7(F1000 Faculty Rev):689 (https://doi.org/10.12688/f1000research.14127.1) First published: 01 Jun 2018, 7(F1000 Faculty Rev):689 (https://doi.org/10.12688/f1000research.14127.1)

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Introduction glucosinolate breakdown products cause the characteristic sharp A diet rich in cruciferous vegetables such as cauliflower, of cruciferous vegetables and typically have a deterrent broccoli, and cabbage has long been considered healthy. Even effect on generalist herbivores10–12. in ancient times, extracts from these vegetables were thought to have medicinal and curative properties, and both Pythagoras and Breakdown of indole-3-ylmethylglucosinolate (I3M-GS), one of Hippocrates understood the medicinal properties of the most widely distributed glucosinolates, leads to the forma- extracts1. In the 20th century, epidemiological studies pointing to tion of indole-3-acetonitrile (I3N) and indole-3-carbinol (I3C) the protective properties of cruciferous vegetables in a cancer- (Figure 1)13. I3C, in turn, can react with itself and a variety of other protecting diet started to accumulate2. A meta-analysis of studies plant metabolites to form conjugates, some of which are shown carried out over 18 years in Europe revealed an inverse associa- in Figure 1. Most of these I3C conjugates have as-yet-unknown tion between weekly consumption of cruciferous vegetables and functions in plant metabolism, though, interestingly, another several common cancers, including colorectal, breast, kidney, function of glucosinolate breakdown products may be to signal and upper digestive tract cancers3. While these vegetables contain further plant defense responses14. Therefore, it is possible that a vast array of phytochemicals4, the mechanism by which these I3M-GS breakdown also triggers other downstream responses in vegetables counteract cancer is still largely unresolved. Arabidopsis and other crucifers.

The anticarcinogenic properties associated with crucifers are From a dietary perspective, vegetables affects their primarily attributed to the presence of glucosinolates, a family of profile of glucosinolate breakdown15. Boiling leads to inactivation secondary metabolites that are synthesized uniquely in this plant of the enzyme but can also lead to a non-enzymatic family and play a dominant role in plant defenses against insects5. breakdown of I3M-GS to I3C and I3N16. In addition, human gut Glucosinolates are derived from and amino acids and microbes can lead to glucosinolate breakdown17. contain various modifications to their side chain. The exact glu- cosinolate profile varies among crucifer species, and more than Indole-3-carbinol and cancer 140 glucosinolates have been characterized, including approxi- The glucosinolate breakdown products, rather than intact mately 40 in Arabidopsis6,7. Herbivory or other tissue damage glucosinolates, primarily contribute to the anticarcinogenic initiates the hydrolysis of glucosinolates by an endogenous plant effects of eating cabbage, broccoli, and related vegetables11,12,18. β-thioglucosidase termed “myrosinase”. Glucosinolates and I3C has long been studied regarding potential roles in cancer myrosinase are stored in separate plant compartments and meet management19,20, and many studies showed that I3C suppresses the only following cell rupture. This separation is likely an adapta- proliferation of various cancer cell lines, including breast, colon, tion to allow the targeted production of glucosinolate breakdown prostate, and endometrial cancer cells (reviewed in 19,21). One products, which are toxic to not only herbivores and pathogens example of its anti-proliferative properties comes from a study but also the themselves. Further catalysis and spontane- conducted on non-tumorigenic and tumorigenic breast epithelial ous degradation results in the formation of , epithionitriles, cells (MCF10A and MCF10CA1a, respectively), which showed oxazolidine-2-thiones, , and isothiocyanates8,9. These that I3C induced apoptosis in the breast cancer cells but not in

Figure 1. Myrosinase-catalyzed breakdown of indol-3-ylmethylglucosinolate (I3M-GS). Myrosinase-catalyzed breakdown of I3M-GS leads to the formation of unstable intermediates and then to indole-3-acetonitrile (I3N) and indole-3-carbionol (I3C). I3C reacts with itself and other plant metabolites to form a number of conjugates, some of which are shown.

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the non-tumorigenic breast epithelial cells22. I3C and one of its available genetic and genomic resources make Arabidopsis an reaction products, diindolylmethane (DIM), were implicated in excellent model system not only for plant biology but also for the induction of phase 1 detoxification enzymes, which can result eukaryotic research in general52. in the breakdown of other dietary carcinogens. Both in situ and in vivo studies point to a role for I3C as a chemoprotective agent in While the role of I3C in deterring herbivores is well studied53, breast and prostate cancer23. as is the biochemical pathway leading to the production of I3C13, the secondary responses in plants induced by I3C are only now The exact mechanisms by which I3C influences human cells starting to be revealed. Our recent studies highlight that I3C is are unclear, though direct interaction with a variety of signaling not only a defensive chemical targeting herbivores but also a pathways has been proposed. The treatment of various cancer cells signaling molecule modulating different cellular and developmen- with I3C induces G1 cell cycle arrest24–30. Other studies pointed tal pathways. to a connection between treatment of I3C and stimulation of apoptosis in several tumor cells25,31–34. I3C also induced autophagy Using Arabidopsis as a model system, we showed that exogenously in different cell lines. For example, the treatment of human colon applied I3C rapidly and reversibly inhibited root elongation in a cancer HT-29 cells with I3C and genistin induced autophagy and dose-dependent manner54. This inhibition was accompanied by suppressed the cells’ viability35. The treatment of human breast three I3C-induced responses that are relevant for our understanding cancer cell lines with a cyclic tetrameric derivative of I3C resulted of I3C activity in inhibiting cancer. in upregulation of key signaling molecules involved in endo- plasmic reticulum stress response and autophagy36. I3C also has First, the application of I3C led to a cessation of cell division the potential to modulate the metabolism of estrogen, and, through in the root meristem (Figure 2A). While normally a number of this, it may lower the risk of hormone-dependent cancers37–39. CycB1-expressing cells are visible in the root meristem, follow- In addition, I3C inhibited tumor invasion and metastasis40–44 ing I3C treatment, no CycB1-containing cells were detected, indi- and modulated the activity of several transcription factors and cating a cessation of cell division. This conclusion is supported various protein kinases21. Interestingly, I3C may also be involved by transcript-profiling results showing the downregulation of cell in the inhibition of amyloid fibril formation45. I3C was proposed cycle genes six hours following exposure to I3C55. to act as an angiogenesis agent, as it was shown to inhibit the 46 development of new blood vessels . A number of studies have Fluorescence-activated cell sorting (FACS) analysis on nuclei shown that I3C treatment leads to various changes in gene isolated from root tips further indicates a stoppage of the cell expression, including changes in key microRNAs (reviewed cycle. As seen in Figure 2B, three distinct populations of nuclei in 47). The complex mixture of indole metabolites found in cru- are detected in untreated roots, corresponding to 2n, 4n, and 8n ciferous vegetables likely has synergistic anticarcinogenic effects nuclei. However, following treatment with I3C, there is a progres- 32 that are not seen in experiments with individual compounds . sive loss of the 4n and 8n populations, with a concurrent increase in cells with increased side-scatter (population B). In vivo studies showed that I3C inhibits the development of different cancers in several animals when given before or in Second, the application of I3C led to a loss of auxin (indole-3- parallel to a carcinogen. However, when I3C was given to the acetic acid [IAA]) activity in the root meristem54. Auxin is the animals after the carcinogen, I3C promoted carcinogenesis48. most central plant hormone, controlling nearly all aspects of This concern regarding the long-term effects of I3C treatment on plant growth and development56. I3C affects plant growth and cancer risk in humans resulted in some caution in the use of I3C development by directly modulating auxin signaling. I3C as a dietary supplement in cancer management protocols49,50. antagonized a number of auxin-induced growth phenotypes, including inhibition of root elongation, formation of root Mammalian cellular processes attributed to I3C action are hairs, and secondary root branching. I3C directly interferes as diverse as the different phenotypes presented by the many with the auxin-dependent binding of the auxin-receptor Trans- cancers studied. Indeed, focusing on the effects of I3C on one port Inhibitor Response (TIR1) to two of its substrates54. The type of cancer (e.g. breast cancer) may present pleiotropic effects TIR1 auxin receptor is an F-box-containing subunit of the for I3C on multiple molecular targets (reviewed in 51) that may SCF (Skp, Cullin, F-box) E3 ubiquitin ligase complex. Auxin be distinct from those presented in another cancer type. While binding to the SCFTIR1/AFB promotes the degradation of auxin/ not often considered, to get a different perspective on the action indole-3-acetic acid (Aux/IAA) transcriptional repressors and of I3C in cells in general, it may be instructive to learn from through this regulates the transcription of the auxin-induced the activity of I3C in plants. genes57. I3C inhibits the auxin-dependent dimerization of the receptor with its substrates by competing with auxin for Indole-3-carbinol and plants the same binding site in TIR1. The model plant Arabidopsis thaliana provides an excellent system for elucidating the molecular mechanisms involved in I3C The third I3C-induced response relevant for our understanding action, as 1) it produces I3C endogenously following herbivory, of I3C activity in inhibiting cancer is autophagy. Exposure of 2) small amounts of I3C are produced constitutively in the roots, Arabidopsis roots to I3C leads to the induction of autophagy58. hinting at an endogenous role in maintaining homeostasis, and This autophagy is not general, aimed at bulk degradation of 3) its short life cycle and small stature coupled with advanced general cytoplasmic content for recycling, such as that occuring

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Figure 2. Indole-3-carbionol (I3C) affects cell cycle and nuclear complexity in the Arabidopsis root meristem. A. Confocal imaging reveals a lack of Cyclin B–GFP-expressing cells following I3C treatment. Seedlings expressing Cyclin B–GFP were grown on Murashige and Skoog (MS) medium for 4 days, treated with MS (left panel) or 500 μm I3C (right panel) for 6 hours, and imaged using confocal microscopy. Cell walls were stained using propidium iodide. B. Fluorescence-activated cell sorting (FACS) analysis reveals changes in nuclear complexity following I3C treatment. Nuclei were isolated from Arabidopsis roots treated with MS or MS plus I3C for the marked times between 0 and 15 hours and analyzed by FACS for DNA content (FL2-A = propidium iodide fluorescence) and nuclear complexity (SCC-H = light side scatter). The green, purple, and blue boxes represent the populations differing according to nuclear content, 2n, 4n, and the endoreplication population (8n), respectively. The red boxes represent two populations of nuclei (“A” and “B”) that differ according to side scatter.

under starvation conditions, but rather specific. Specific autophagy Although I3C-induced autophagy was detected in both plants and targets damaged proteins and other cellular components for animals, the direct signaling mechanism has yet to be elucidated. degradation59 and is seen in the co-localization of the GFP- However, this might hint at a shared signaling mechanism for AtATG8A and mCherry-AtNBR1 marker proteins in autophago- both plants and humans. Thus, not only is it instructive for cancer somes following I3C treatment. The I3C-induced autophagy biologists to learn from the activity of I3C in plants but also plant targets the TIR1 auxin receptor, thus connecting I3C-dependent biologists have much to gain from a closer understanding of the inhibition of auxin signaling55 and the I3C induction of mechanistic studies of cancer biologists. autophagy58. To date, only a few I3C-binding proteins have been identified. These two I3C-dependent processes were detected in roots not In human cells, the enzyme elastase, which mediates the con- only after direct exposure to exogenously applied I3C but also version of cyclin E from a higher- to a lower-molecular-weight following the treatment of leaves with I3C. Most importantly, form associated with cancer cell proliferation, was the first leaf-wounding also induced autophagy and inhibited the auxin identified specific target protein for63 I3C . I3C treatments also response in the root, and this effect of wounding was lost in inhibited elastase-dependent cleavage of an additional substrate, glucosinolate-defective mutants. This indicates that an I3C- membrane-associated CD40, a member of the tumor necrosis dependent signal is transported from leaves to the root meristem factor (TNF) receptor superfamily64. Thus, the I3C–elastase where auxin signaling is inhibited and autophagy is induced. nexus may aid in the development of targeted therapies of human Thus, I3C is not only a defensive metabolite that repels insects breast cancers where high elastase levels are correlated with but also involved in long-distance communication regulating poor prognosis. growth and development in plants. The only I3C-binding protein identified in plants to date is the Indole-3-carbinol, autophagy, and protein turnover TIR1 F-box protein. While auxin is a plant-specific hormone, The connection between I3C and autophagy is quite interesting, SCF complexes also exist in mammals and play important roles as this connection was also found in several human cancer in many mammalian functions65. TIR1 is related to the human cells, as described earlier35,36. The process of autophagy involves protein SKP266, so conceivably I3C could regulate protein the degradation of unnecessary or dysfunctional cellular turnover in mammals as well. This conjecture is supported by components through the actions of lysosomes (in mammals) or studies which showed that I3C targets and inhibits a different vacuoles (in plants). This process is evolutionarily conserved E3 ubiquitin ligase, NEDD4-1 (Neural precursor cell Expressed among eukaryotes, and its mechanism is well elucidated60,61. In Developmentally Down regulated gene 4-1) in human melanoma the context of cancer, autophagy can be viewed as a “double- cells67,68. Thus, an I3C-bound, inhibited NEDD4 would need to edged sword”. The activation of autophagy may function as a be cleared from the cell, and conceivably this could occur via tumor suppressor (by degrading the defective organelles and specific autophagy, just as I3C-bound, inhibited TIR1 is targeted cellular component) or can be exploited by the cancer cells to in plant roots for clearing by specific autophagy. As NEDD4 is generate nutrients and energy during periods of starvation62. frequently overexpressed in different types of human cancers69,

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I3C could be a potential therapeutic agent inhibiting the activity hormone-binding proteins71–75. Thus, the study of I3C in plants of the over-accumulated E3 ligase. can have direct implications for further understanding the role of I3C and perhaps controlling cancer in humans. While plants do not develop metastatic cancer as mammals do, plants can develop tumors. Plants and animals share numerous pathways and signaling cascades70, and approximately 70% of Competing interests the genes implicated in cancer have homologs in the Arabidopsis The authors declare that they have no competing interests. thaliana genome, similar to the percentages of human cancer genes in other established systems such as Drosophila melanogaster, Grant information Caenorhabditis elegans, and Saccharomyces cerevisiae52. Fur- Our research into the role of I3C in Arabidopsis is funded by grants thermore, while plants and animals obviously have independent from the Binational Agricultural Research and Development Fund hormonal regulatory mechanisms, some similarity and cross (BARD, IS-4505-12R and US-4846-15C). reactivity exists between the kingdoms. Plants produce phyto- estrogens and other steroid hormones, which also affect human The funders had no role in study design, data collection and analysis, hormone signaling, as well as a number of putative steroid decision to publish, or preparation of the manuscript.

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Editorial Note on the Review Process F1000 Faculty Reviews are written by members of the prestigious F1000 Faculty. They are commissioned and are peer reviewed before publication to ensure that the final, published version is comprehensive and accessible. The reviewers who approved the final version are listed with their names and affiliations.

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1 Juan M. Zapata Instituto de Investigaciones Biomédicas "Alberto Sols", CSIC-UAM, Madrid, Spain Competing Interests: No competing interests were disclosed. 2 Gary L. Firestone Department of Molecular and Cell Biology and the Cancer Research Laboratory, University of California at Berkeley, Berkely, California, USA Competing Interests: No competing interests were disclosed.

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